Individual provider Active NPI

Ashley Andrea Nazon, LCSW, DSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1609335884
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107041 Issued in TX
Practice address
15310 Amberly Dr Ste 250
Tampa, FL 33647-1642
Phone
(813) 530-5257
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107041 TX Primary

Addresses

Primary practice location

15310 Amberly Dr Ste 250
Tampa, FL 33647-1642

Mailing address

PO Box 6771
Brandon, FL 33508-6013
Phone (773) 203-7263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, GA, MO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190618002114 FL Practitioner - Clinical Social Worker 2365775756 Reassigns benefits to 2 organizations
I20220603001568 TX Practitioner - Clinical Social Worker 2365775756 Reassigns benefits to 1 organization
I20220630001189 GA Practitioner - Clinical Social Worker 2365775756 Reassigns benefits to 1 organization
I20260416001807 MO Practitioner - Clinical Social Worker 2365775756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Atlanta, GA 30361
Phone (773) 203-7263

15310 Amberly Dr
Suite 250
Tampa, FL 33647-1642
Phone (813) 530-5257

4514 Cole Ave
Suite 600
Dallas, TX 75205-4193
Phone (813) 530-5257

PO Box
Suite 6771
Brandon, FL 33508-6013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Mental Health CurrentSince Jun 26, 2019 Accepting new patients

Locations

1134 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 315-8648

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1609335884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6771",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335086013",
            "telephone_number": "773-203-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15310 AMBERLY DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471642",
            "telephone_number": "813-530-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZON",
        "first_name": "ASHLEY",
        "middle_name": "ANDREA",
        "name_prefix": "Miss",
        "credential": "LCSW, DSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.